Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,836.00	Facility		$969.00	$3,596.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,220.07 / $1,220.07 / $1,220.07	Facility		$1,220.07	$1,220.07	$1,220.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $24,034.56	Facility		$55.00	$55.00	$24,034.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,403.41 / $1,841.02 / $3,051.53	Facility		$1,403.41	$1,841.02	$3,051.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,403.41 / $1,859.61 / $3,463.29	Facility		$1,403.41	$1,859.61	$3,463.29
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00